Healthcare Provider Details

I. General information

NPI: 1053982009
Provider Name (Legal Business Name): TORI GARLICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE., ML 6019
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE., ML 5021
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4124
  • Fax: 513-636-4283
Mailing address:
  • Phone: 513-636-4225
  • Fax: 513-636-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2309444
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: